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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH SAM

Active

ELIZABETH SAM is a Primary Care Nurse Practitioner healthcare provider located in LILBURN, Georgia. NPI 1154828366 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · LILBURN, GA

Registration Details

NPI Number
1154828366
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2018 (8.3847588482249 yrs)
Last Updated
Oct 6, 2021
License
F01180587 (GA)

Practice Information

Address
4025 LAWRENCEVILLE HWY NW
LILBURN, GA, 300473013
Browse GA providers · Browse ZIP 30047
Phone
7705593501
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in LILBURN, GA

Name Credential NPI
LATRINA S WALDEN FNP-C 1750861217
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.